超声心动图测定尿毒症患者心肌重量及心功能的临床研究

目的 探讨超声心动图测定尿毒症患者心肌重量及心功能在评价尿毒症患者心脏损害的意义.方法 对70例尿毒症患者及30例健康体检者进行常规超声心动图检查,通过心脏测量菜单测定尿毒症患者心肌重量及心功能.对尿毒症组及健康对照组进行对比研究.结果 70例尿毒症患者超声心动图的分析结果显示,分别有12.8%和84.3%存在左室收缩功能不全和左室舒张功能不全,患者左室心肌重量明显增大,均显著高于健康对照组(P＜0.01).结论 尿毒症患者左室舒张功能不全和左心室肥厚多见,超声心动图是检测尿毒症患者心脏损害的实用、敏感、无创检查,能为临床诊断及治疗提供参考.

Clinical research of echocardiography on uremic patients with myocardial weight and heart function

Objective To investigate the echocardiographic determination of uremic patients with myocardial weight and in the evaluation of cardiac function in patients with uremia heart the significance of the damage.Methods 70 cases of uremic patients and 30 normal physical were examined by routine echocardiography,cardiac measurements through the menu of uremic patients with myocardial weight and heart function.The patient group and the normal control group were compared.Results 70 patients with uremic echocardiography resuits of the analysis showed,respectively,12.8%and 84.3%existence of left ventricular systolic dysfunction and left ventricular diastolic dysfunction.left ventricular mass in patients with significant increase are significantly higher than those in healthy control group(P＜0.01).Conclusion Uremic patients left ventricular diastolic dysfunction and left ventricular hypertrophy most of echocardiography is the detection of cardiac damage in patients with uremia practical,sensitive,non-invasive examination will be able to clinical diagnosis and treatment provide guidance in the clinical widely used.